Provider Demographics
NPI:1790195345
Name:MILNER, MARIA (RDH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:MILNER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DOLORES
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:2510 ANTIETAM LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1403
Mailing Address - Country:US
Mailing Address - Phone:719-531-5721
Mailing Address - Fax:
Practice Address - Street 1:2510 ANTIETAM LN
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1403
Practice Address - Country:US
Practice Address - Phone:719-531-5721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.000002638124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist